Lead Data Solutions Analyst

highmarkhealth; Pittsburgh (Allegheny County); On-site; USD 120,000 - 150,000; Full time

Job summary

enGen is seeking a Product Owner to lead a scrum team focused on Electronic Health Record (EHR) Clinical Data Exchanges and integration, including data curation, transformation, and downstream use-case enablement. The role requires expert judgment to translate business needs into detailed requirements, manage risks, and ensure high-quality delivery for complex healthcare data projects.

Responsibilities include collaboration with customers and cross-functional teams, driving data-driven

Qualifications

• Knowledge of HEDIS and NCQA/Stars ratings for CMS/ONC Reimbursement, plus Risk Adjustment, Utilization Management, and Care Management practices.
• Agile Scrum methodology and Product Owner certification (CSPO or equivalent) preferred.
• Experience collaborating with senior stakeholders for requirements prioritization and executive communication.
• Understanding of healthcare data exchange standards and formats.

Responsibilities

• Lead in partnership with customers, data engineers, and capability managers to capture needs and deliver data and reporting solutions.
• Direct cross-functional teams to identify data-related challenges and drive data-driven insights.
• Provide SME guidance on complex data and reporting projects, ensuring compliance and quality delivery.
• Communicate effectively with customers and management, document requirements, and support sprint reviews.

Skills

HEDIS knowledge

NCQA/Stars knowledge

Agile Product Owner

Stakeholder collaboration

Healthcare data standards

Job description

Company :

enGen Job Description :

JOB SUMMARY

This role will serve as the Product Owner for a scrum team dedicated against Electronic Health Record (EHR) Clinical Data Exchanges (CDE) and Integration, including integrations, data curation and transformation, downstream use-case and consumption enablement.

Uses significant independent judgement and discretion to collaborate with customers on the most complex data and reporting issues in order to understand capability needs, gather project and data specifications, create data sets, operational reports, and analytical deliverables, create business cases and cost sheet analysis, translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test plans, provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure quality delivery. Identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Data Analysts, as well as others outside of immediate team. Leads project teams or actively participates as a SME on the most complex projects (cross functional, with potential regulatory risk exposure, customer service & financial impacts). Acts as the face to the customer; primary customer contact; may negotiate project requirements versus resources with customer. Resolves the most complex issues (may involve multiple systems) and/or develops alternative solutions with understanding of potential regulatory risk exposure and customer service & financial impacts, ensuring that resolution addresses all potential impacts. Act as a SME on how the most complex new data and reporting enhancement are developed using an expert level of understanding of end-to-end processes and potential integration issues. Requires expert level of understanding of data store and end systems impact of changes across enterprise-wide systems (including regulatory risk exposure, customer service & financial impacts).

ESSENTIAL RESPONSIBILITIES

• Lead in working with customers, Data Software Engineers, Data Architects, Capability Managers, and other team members to capture capability needs and drive quality data and reporting business solutions on complex issues. Create and maintain deliverables such as data set creation, operational reports, and analytical dashboards.
• Collaborate with or lead cross-functional teams, leveraging diverse data skills and perspectives to proactively identify and address data-related challenges across project phases, driving data-driven insights and solutions to ensure successful project delivery.
• Provide required business and/or subject matter expertise for both project and production related activities on complex issues, including new strategic programs or initiatives impacting current and existing systems.
• Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle.
• Interface with the business areas, customers, partners, vendors, technical staff and project teams to drive value, return on investments and innovative solutions. This includes providing alternative solutions, including vendor solution acquisitions, with maximum benefits while reducing cost (e.g. cost benefit analysis, pros/cons of solutions).
• Lead in supporting various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts.
• Communicate in an exemplary manner with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.
• Provide thought leadership and strategic direction in Data, Product and Technology Solutions.
• Other duties as assigned or requested.

EXPERIENCE

• Required 7 years of experience in IS/IT
• Preferred 5 years of experience in Process Improvement
• 3 years of experience in Project Management
• 3 years of experience in Health Insurance Industry
• 3 years of experience in Healthcare Industry

SKILLS

• Knowledge of HEDIS (Healthcare Effectiveness Data and Information Set) and NCQA/Stars ratings for CMS/ONC Reimbursement, as well as Risk Adjustment, Utilization Management, and Care Management practices for Healthcare Payers.
• Agile Scrum methodology and Certification as Product Owner (CSPO, or similar)
• Experience collaborating with senior stakeholders for requirements and prioritization, executive communication and presence, conflict resolution, etc.
• Healthcare data exchange standards and formats,